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Nebraska rates for HCPCS A4314

Insertion Tray With Drainage Bag With Indwelling Catheter Foley Type Two-Way Latex With Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $29.25 / $29.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.25 / $39.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.03 / $34.14 / $34.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $38.85 / $38.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $38.85 / $59.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.62 / $35.32 / $157.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $17.62 / $29.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $38.85 / $48.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $45.39 / $76.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $17.62 / $23.09